HomeMy WebLinkAboutDrain Layers Permits 32 Schoolhouse Driv 1800075 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
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DATE: 10/16/2018
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GIS ID: 81200032 5�Y � � FEE: 0.00
MUNIS APPLICATION# 201802027 � �x EXPIRATION DATE: 11/15/2018
APPLICAN LOCATION
NAME: EAGLE EARTHWO 5 � �; *L � ? RE 32� CHOLHOUSE DRIVE
ADDRESS: 101 N MOUNTAIN LINO BUILDERS INC
�401 C�HA EL RD 3F
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CANTON,CT 060199 �
PHONE 860-693 2027, ; jgsr4 K � 3
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WORK DESCRIPTION: �TI �Oi�R , :
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THE DRAIN LAYER ASSIGNED TO THISE w I`iIA A� , (SUT3IIF TATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FOR .. i � RK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSQR STAND IA p1 `,+A .TEE ATTACHED CONDITIONS.
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1800073 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER DRAIN LAYER PERMIT
DATE: 10/15/2018 � "s4
GIS ID:81200031y lz�� FEE: 80.00
MUNIS APPLICATION# 201802023 �j ate` " EXPIRATION DATE: 1 I/14/2018
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APPLICAN7 "� "� iY ' �� , e�3 y. LOCATION
NAME: EAGLE EARTHWO �(7�E 5.4}, ��y ]�DRES OLHOUSE DRIVE
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ADDRESS: 101 N MOUNTAIN R E
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IS A AMINO BUILDERS INC
QHAPEL ROAD UNIT 3-F
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CANTON,CT 06019Eh I.4 1 �
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WORK DESCRIPTION: NEW SE" C+�ITI � � `�
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THE DRAIN LAYER ASSIGNED TO THIS c �#I�I IAfi A � �SSUBFrSTATE.AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FOR 1�Fi�3E �T� �-e S) VY�CRK SHALL BE IN ACCORDANCE WITH
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THE TOWN OF SOUTH WINDSOR STANDA t�LL 68, ,A"'rt T ATTACHED CONDITIONS.
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TOWN OF SOUTH•WINDSOR INSPEiC`OGN REPORT
PERMIT NO.: 7 CQNTRACTOR: '
LOCATION: &I 2- SM A-V&J-.4'
TYPE OF WORK:L.
DATE INSP NEEDED: DATEINSP:
INSPECTED BY:
WORK.IN
PROG - V s t)p_ z
SEPTIC TANK PUMPED, S SHED, FILLED WITNESSED ❑YES ONO
AS-BUILT: '
-----------------
INPUT: DATE: '
Sfinday/forms 2014 To=or south Windsor.INPswwN Repot T 14
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $80.00
�l Location of proposed work: Sc 41014 0 25 Lofi #
Street No. Street Name
Premises owned by: e4-,f L
Name of Firm:, A,4 - IML Phone:
Address of Firm: v
TYPE OF WORK:
Lay House Drain.; Repair House Drain ; Sanitary Disconnect
Lay Lateral for building with connection ; or no connection ;
Lay Main
Lay Lateral for Commercial/Industrial Building number of acres
Connection will be made with 6 `JD 0 G3 Jr
Existing Water Supply: Public Water _ Well
Proposed Start Date /0VT X9 Estimated time for completion 10-IT zae
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to.be.issued to Fekol WpEa- the holder of Drain
Layer's License No. 116 Only holders of P-1, P-7 or W-9 licenses
will be issued a permit. PERMIT WILL EXPIRE THIRTY(30) DAYS AFTER
DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms
and conditions set.forth in the permit and attached thereto. Applicant has received
Town Street Excavation Permit No. and/or ConnDOT Permit No.
CBYD No. PLEASE NOTE:
IF A SANITARY SEWER LATERAL
IS WITHIN 75 FEET OF A WELL
IT MUST BE.AIR TESTED .
SignedavuW Print Name:
Licensed Drain Layer
Date:
Standard Forms\Permb\APPl.ICATION FOR DRAIN LAYERS PERMrr REVISION 3/2018•doc
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: 16 ZL Z,2n %f ,
BUILDING ADDRESS
STREET ' �►�� .1. ���r
SUBDIVISION: ,ve wo,%i
NORTH ARROW
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CONTRACTOR' /�► .jam �
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F NT T 'SSUPE�VISOR {P
rSTREET ADDRESS SIGNATURE
La
'y DATE
TOWN / STATE ZIP INSPECTED BY TOWN
900 `�(1��� ��� � DATE
T-ELLEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER